Todd C Martin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6358-15 Issued in WI

Practice address

613 Southwind Dr Unit 102
Lake Geneva, WI 53147-4740

Phone

(630) 215-8686

NPI assigned

Sep 2, 2006

Last updated

Apr 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, IL, WI3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Todd Martin, DDS

  • Dentist
  • Brookfield, IL
  • NPI 1164546222
  NPD (past) Authorized official
• Keweenaw Bay Indian Community

  • Federally Qualified Health Center (FQHC)
  • Baraga, MI
  • NPI 1336232289
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1669574513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 SOUTHWIND DR UNIT 102",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474740",
            "telephone_number": "630-215-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 SOUTHWIND DR UNIT 102",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474740",
            "telephone_number": "630-215-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TODD",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6358-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin E Mahoney
• Haley Elisabeth Makar, OTR
• Diane Kay Marcello, PTA
• Nadiia Marenych, MD
• Krista C Martin, COTA
• Monica E Marton, RN
• Cheryl Ann Matchen, R.N.
• Mary McKeown, LPC
• Amanda Arlene Mehner, LMT
• Barbara Lynn Mehnert, L.P.C.

• Dentist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.